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Home Research Research Library Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement 2018 Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume Health Affairs Source Health Affairs Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports-but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures. Read More ABFM Research Read all 2019 Experiences of New Family Physicians Finding Jobs with Obstetrical Care in the USA Go to Experiences of New Family Physicians Finding Jobs with Obstetrical Care in the USA 2013 Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study Go to Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study 2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. 2019 Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants Go to Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants
Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume Health Affairs Source Health Affairs
ABFM Research Read all 2019 Experiences of New Family Physicians Finding Jobs with Obstetrical Care in the USA Go to Experiences of New Family Physicians Finding Jobs with Obstetrical Care in the USA 2013 Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study Go to Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study 2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. 2019 Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants Go to Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants
2019 Experiences of New Family Physicians Finding Jobs with Obstetrical Care in the USA Go to Experiences of New Family Physicians Finding Jobs with Obstetrical Care in the USA
2013 Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study Go to Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study
2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices.
2019 Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants Go to Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants
